Dr. David M. Epstein
Staff
Punctuality
Helpfulness
Knowledge
The Advanced Spine Center
160 E Hanover Ave , Floor 2
Morristown, NJ, United States
07960
160 E Hanover Ave , Floor 2
Morristown, NJ, United States
07960
(973) 538-0900
http://www.theadvancedspinecenter.com/
Facility Affiliations
Dr. David M. Epstein's Credentials
Education
- State University Of New York At Stony Brook, School Of Medicine (Grad. 2005)
Note: This is not a critique of Dr. Epstein's knowledge.
In 2022 Dr. Epstein treated my daughter who is a level 10 Gymnast for persistent foot pain related to an injury she sustained doing gymnastics. MRI indicated significant damage to the ankle ligaments and physical examination was consistent with an unstable ankle. However the location of the pain was posterior near the calcaneocuboid joint. Dr. Epstein's opinion was that the pain was related to excessive movement of the unstable ankle. A modified brostrom procedure was performed which successfully stabilized the ankle. Recovery and rehabilitation of the foot were unremarkable. However, upon returning to gymnastics my daughter immediately complained of pain in the same location. Dr Epstein ordered an MRI of the 4th metatarsal and TMT joint. Results were negative and my daughter was given NSAID pain relievers and told to work through it. We responded back that the NSAIDs were not working and I asked if a CT of the foot could be performed. I was told it was unnecessary and the the previous MRI indicated there were no issue. She should try to work through it. It was clear Dr Epstein was no longer interested in working through this issue. My daughter tried for a year but could not successfully make a full return due to the continued pain. I finally went to a doctor at the Hospital for Special Surgery in NYC for another opinion. Without me asking, the first thing he did was an in office CT of both feet. 5 minutes later he came in and examined my daughter who showed him where the pain was. He pulled up the CT scan and showed us where my daughter had sustained a displaced avulsion fracture of the the cancaneocuboid joint right where the pain was and that the associated bone remodeling was impinging on the joint. He then ordered an unltrasound guided intra-articular injection of the joint with lidocain to confirm his suspicion. For the first time in two years my daughter was pain free for the duration of the anesthetic pretty much confirming the diagnosis. My daughter is now schedule for surgery to have the bone fragment removed. Where Dr. Epstein dropped that ball was not listening to the patient who continued to have persistent pain in the same location even after surgery and recovery, then denying an additional test that could have easily identified the root cause. My daughter lost 2 years of development and competition and stands to lose another 6 months with this follow up surgery. Not sure whether it was his ego or whether Dr Epstein was concerned about his misdiagnosis of my daughters pain but unfortunately my daughter suffered the consequences. If you are a new patient to Dr. Epstein, you might want to take my daughters experience into account. I think he is a great surgeon but question his diagnostic skills and post surgical behavior.
Submitted March 22, 2024